We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only).
Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position.
Veterans, Reservists, Guardsmen and military family members are encouraged to apply!
Job Summary The Provider Program Manager is responsible for overseeing the design, implementation, and delivery of processes, programs, and policies in an assigned functional area within the provider services departments. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices. The Provider Program Manager will function as both a subject matter expert (SME) and delivery lead and will be assigned to a specific functional area such as value-based care, provider education or credentialing.
Education & Experience Required: • Bachelor's Degree in Business, Healthcare Administration, or other related field, or equivalent experience
• U.S. Citizenship
• Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
• 7+ years of managing projects and/or programs at an enterprise level with at least 5 years in a healthcare related industry and specifically in value based care or alternative payment models provider credentialing, or provider education
• Demonstrated success in designing, implementing, and delivery of value-based care, provider education or provider credentialing programs
• Advanced verbal and written communication skills, with ability to lead and motivate diverse teams
• Experience managing vendor/partnership relationships
• Experience utilizing Microsoft Office Suite (Word, Excel, PowerPoint, Project, Access)
Preferred: • Master's Degree in Business, Healthcare Administration, or other related field
• Project Management Professional (PMP) certification
• Program Management Professional (PgMP) Certification
• Experience working with Department of Veterans Affairs and/or Military Health System/TRICARE
Key Responsibilities • Performs as a subject matter expert by designing, developing and implementing assigned programs that meet contract requirements such as value-based care, provider education or credentialing.
• Develops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives.
• For value-based care program: Assists in the development of sophisticated health care economics models to evaluate the efficacy of various value-based care scenarios and models.
• Monitors industry trends related to value-based care, including other payer programs and government led programs and demonstrations.
• Researches, identifies, and reports potential risks and issues related to value-based care programs to organizational leadership.
• Works closely with assigned teams' leadership and respective team members to ensure projects and programs are well defined, planned, executed, tracked, and communicated in a transparent, consistent, and effective manner. Acts as the lead on business requirement development for area of responsibility.
• Tracks, analyzes, and summarizes data for reporting, decision making, and follow-up action plans.
• Works with stakeholders and other subject matter experts to build documents and tools to support goals.
• Prepares meeting agendas to include meeting summaries and due outs.
• Builds project schedules and tracking templates to monitor progress.
• Facilitates solution design sessions and creates follow-up action plans.
• Performs first-level primary research and discovery to scale and optimize current operations.
• Partners with enterprise QPI team to develop project methodologies, processes, tools, and standards in support of maturing capabilities.
• Other duties as assigned.
• Regular and reliable attendance is required.
Competencies Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate.
Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications.
Creativity / Innovation: Ability to develop unique and novel solutions to problems; view change as necessary.
Delegation Skills: Provide clear performance expectations for projects and ensure adequate access to resources for completion.
Empathy / Customer Service: Customer-focused behavior; helping approach, including listening skills, patience, respect, and empathy for another's position.
Leadership: Successfully manage different styles of employees; provide clear direction and effective coaching.
Multi-Tasking / Time Management: Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment.
Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail oriented.
Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues.
Technical Skills: Previous experience and demonstrated success leading and managing large and complex enterprise projects and programs. Proficient with Microsoft Project, Project Server, Visio, and SharePoint Services.
Working Conditions Working Conditions: • Works in standard office working conditions, with moderate travel
• Availability to work non-regular hours and long shifts as required
BenefitsWe're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:
- Medical, Dental and Vision Coverage
- Paid time off
- 401(k) Retirement Savings Plan (with matching)
- Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
- Tuition reimbursement
- Paid volunteer time
TriWest job postings typically include a salary range, which can vary based on the specific role and location, but generally this position ranges from around $115,000 - $135,000 per year.
